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MAM
INSURANCE
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POLICY SCHEDULE
POLICY NO. 1080517000155
TYPE OF COVER = CONTRACTOR'S PLANT AND MACHINERY INSURANCE
FORM CPM Munich Re Wording
THE INSURED PT, TRAKINDO UTAMA and/or Associated and/or Subsidiary Companies
and/or joint venture for their respective right and interest
‘OFFICE ADDRESS TMT Building 12" Floor
11 Cilandak KO, Jakarta Selatan
PERIOD +: From 31 October 2017 -31 October 2018
(OF INSURANCE both dates inclusive at 24.00 midnight local time
THE BUSINESS Principally but not limited to rent, sales and repair heavy equipment and all
other activities related thereto or in which the Insured may be or become
engaged at the present or n the future.
INTEREST Covering all risks of physical loss and/or damage in respect to equipment as
detailed.
rorausuminsuneo —: [Frakindo Utama |
Detalles attached
Loss unit + USB 20,000,000.0 ary one ocurrence
SPECIALCONDIION A. Upon declaration and agreement of premium terms with the Irsurers the
Policy is extended to cover Machinery Breakdown as defined in the
Machinery Breakdown Extension Endorsement,
B. Extended te cover Storage Risks of the Eoulpment 2s defined in the
‘Storage Risks Extension Endorsement.
It is agreed that for refurbished or reconditioned items the calculation of
actual valve shall Incude due consideration given to the value and extent of
such refurbishment or reconditioning work, using evidence provided by the
Insured, current dealer quoted market values for similar items and opinion of
independent loss adjusters. For the purposes of clarification, Memo 2.C) shall
not apply to such refurbished or reconcitioned items.
CONDITIONS: : 1, Average Relief Clause (85%)
{inter-ali) 2. Automatic Repair Clause (Limit USD 50,000) subject to all parts being kept
for inspection by loss agjuster Authorized distributors of the
manufacturers and/or repairers appointed by the manufacturer or
authonzed distributor are allow to repair any plant and equipment
where the loss estimated by their engineers is below USD 50,000MRM
INSURANCE
Copy
12,
15.
16,
Fu
23,
2a.
25.
26.
. Automatic Addition / Deletion 30 days subject to maximum value of
USD 5,500,000 each unit.
Any such loss or damage occurring within a period of 72consecutive hours.
caused by flood, storm, tempest, subsidence or earthquake shall be
deemed asa single event and therefore to constitute one occurrence
‘with regard to the deductible provided herein
Automatic Reinstatement of Sum Insured [subject to additional premium)
‘Act of God / Natural Perils extension clause
Allowance whilst the equipment being repaired, replaced or total loss due
to accident limit USD 2.500/day, Max 14 Days/unit from date of Loss,
Max. USD 250.000 in aggregate with time excess 7 days — Subject to
‘Material Damage Proviso Warranty|
Bankers Clause or Leasing Clause (if required)
). Constructive Total Loss (75% of Actuel Cash Velue)
10.
1.
Currency Clause
Doforred Premium Clause (6 installments within 6 Months)
Debris Removal (Limit 10% of sum insured affected item}
Expediting Expenses Clause including airfreight (limit 2095 of sum insured
affected item)
Extended to include Riot, Strike and Malicious Damage and Civil
commotion
Eetended to cover loss and/or damage to wiring and cabling and other
consumables subject due to perils covered by the Policy.
The basis of loss settlement for such wiring, cabling and other consum
ables will follow the BASIS OF LOSS SETTLEMENT in this slip
Extended to include Theft and Burglary
Inclucing Leased and Hired Units
Inlang Transit to include River Crossing with Limit USD 2,000,000 one
occurrence (including loading and unloading)
Loss Notification Clause (30 days)
Notice of Cancellation (30 days)
|. Payment on Account {25%
Recovery Charges including towing fee (Limit 30% of Sum insured
affected item )
Sister Heavy Equipment Clause
Nominated Loss Adjuster:
* Cunningham Lindsoy,
* Charles Taylor Adjusting / Radita Hutama internusa
* Axis International Indonesia
Prima adjuster,
* Royal Conocean, or
any other mutually agreed between Insured, PT Howden Insurance
Brokers Indonesia and insurer.
Professional Fee (5% of loss maximum USD 25,000]
To include caver for equipment which are operated on Barge / Pantoan
and the likes (Limit USD 1,000,000 any one occurrence in aggregate)MRM
INSURANCE
Copy
GEOGRAPHICAL LIMIT
LAW & JURISDICTION
27,
28.
29.
30.
31
32,
BYERES
a1,
2.
43.
‘o include cover for equipment which are operated underground and the
likes
it USD 1,000,000 any one occurrence in aggregate)
‘To include cover for loss and / or damage due to mechanical and /or
electrical breakdown of the equipment ( Limit USD. 5,000,000 any one
occurrence in aggregate)
‘To include cover due to damage to equipment Resulting From Dangerous
Relic Item,
Basis of Valuation of sum insured:
‘Agreed Value as declared at the time of policy inception or attachment
of risk for additional equipment.
asis of Loss of Settlement : Agreed Value subject to independent
appraisal
* inthe case where repairs take place settlement shall be made on the
basis of the cost of restoration to working order existing immediately
prior to the cccurrence of the loss or damage without delay and
by using normal work practice and comprising the value of
replacement parts, labour charges at standard rates or wages,
transport costs at ordinary rates and customs dues or other impost if;
levied.
No deduction shell be made for depreciation in respect to parts
replaced,
The cost of any provisional repair will be borne by insurer if It
constitutes part of the final repair and does not increase the total
ropair cost.
In case of total loss, the insurer maximum liability is actual cash value
of the equipmant prior to the loss or agreed value whichever is lower,
Rebate Clause:
* 25% of Net Premium if Loss Ratio < 10%
* 15% of Net Premium if Loss Ratio 10% - 15%
‘Asbestos Exclusion Clause
Dispute Clause
Extra Contractual Obligation Exclusion Clause
Important Nowce
Industries, Seepage Pollution & Contamination Clause IN.M.A. 1685|
Information Technology Hazards Clarification Clause (NMA 212)
. Institute Radioactive Contamination, Chemical, Biological, Bio-Chemical
‘and Electromagnetic Weapons Exclusion
. IT Clarification Agreement Clause
‘Nuclear Energy Exclusion Clause 1994 - NMA 1975 (A) ( Worldwide
Excluding USA And Canaca)
Terrorism and Sabotage Exclusion Clause
. Transmission And Disirioution Lines Exclusion Clause
Anywhere in Indonesia
IndonesiaMEM
INSURANCE
ay
DEDUCTIBLE
PREMIUM RATE
PREMIUM
EXCLUSION/
SUBJECTIVITY
Jekarta, November 23", 2017
‘Signed for and on behalf of
Mechanical / Electrical Breakdown : USD. 50,000 for a.0.a
Allothers USD. 25,000 for aca
USD 400,000 Annual Aggregate Deductible in EXCESS of Primary Deductible
0.07715% for operating equipment, and
0.03771% for idle equipment »
‘AS PERLIST ATTACHED
* Excluding ofishore construction and/or activities
** Warranted to be operated by skilled and authorized person
** Warranted standard maintenance and good operation
"No deterioration up to binding date
\VPT. ASURANS! MITRA PELINDUNG MUSTIKA
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wwsuhoceMRM
INSURANCE
Attaching to and forming part of Policy No. 0108051700015
CLAUSES
72 (SEVENTY TWO) HOURS CLAUSE
‘Any such joss or damage oecurring within a period of 72 consscutve hours caused by flood, storm,
tempest, subsidence oF earthquake shall be deemed as a single event and therefore to constitute
‘one occurrence with regerd to the deductible provided herein
ACT OF GOD / NATURAL PERILS EXTENSION CLAUSE
Itis noted and agreed that
a) This insurance covers loss of or damage to the insured equipment arising out of and
ineonsequence of Feed, Windstorm, Reinstarm, Typhoon, Hurricane, Volcanic Eruption, Earthquake,
\ ‘Taunemi, Lendelide, Landslip or subsidence or other geological or meteorological phenomenon.
b) tis further agreed that any loss of or damage to the Insured property erising during any one
period of 72 consecutive hours, caused by stom, tempest, flood or earthquake shall be deemed as a
single event and therefore fo constitute one occurrence with regard to the Deduciibies started in the
schedule. For the purpose of the foregaing the commencement of any such 72 hours period shall be
decided at the discration of the Insured. Itie being understood and agreed, however, that thare shall be
1no overlapping in any two or more such 72 hours periods in the event of damage occurring over a more
extended period ot time.
ASBESTOS EXCLUSION CLAUSE,
This contract excludes all claims and losses based upon, afsing cut of, directly or increctly resulting
from or in consequence of, or any way involving
= asbestos, or
= any actudl or alleged asbesios related injury or damage involving the use, presence, existence,
detection, removal, elimination or avoddance of asbestos or exposure or potential exposure io asbesios.
AUTOMATIC ADDITION / DELETION CLAUSE (0 DAYS) SUBJECT TO MAXIMUM VALUE OF
USD 5,500,000 EACH UNIT
Itis agreed that vehicles bought or sold by the Insured are covered and ceased from the Insurance by
this Policy from the date of acquisition or sale, in both cases as prorata premium calculation will
applicable.
Further, notice of additions or deletions are made to the Insurers within 30 days of each transaction.
AUTOMATIC REINSTATEMENT OF SUM INSURED (SUBJECT TO ADDITIONAL PREMIUM)
Itis hereby agreed that in the event of loss covered by the Policy and in the absence of written notice
by the Insured to the contrary, the Insurer agrees to reinstate the amount of insurance reduced by less,
from the commencement of tie reinstatement, replacement or repair of the loss, destroyed or damage
property until exoiry of this insurance subject to
4, The Insured notlying the Insurer as soon as practicable of such reinstatement.
2, The Insured paying the addtional premium calculated at prorate of the appropriate rate from the
Cate of attachment of such reinstatement to the expiry of the insurance.
3. The Insurer's limit lability shall not exceed the sum insured that were enforce immediately before
the loss.MEM
INSURANCE
Attaching to and forming part of Policy No. 0080517000155
AUTOMATIC REPAIR CLAUSE (LIMIT USD 50,000)
‘Subject to all parts being k
manufacturers and/or rap
repair any plant and equi
for inspection by loss adjuster Authorized distributors of the
irers appointed by the manufacturer or authorized distributor are allow to
ment where the loss estimated by their engineers is below USD 50,000
AVERAGE RELIEF CLAUSE (85%)
Each item insured under this memorandum is declared to be separately subject to the following
condition of average namely
iat the time of reinstatement the sum representing eighty five (65) percent of the cost _which would
have been incurred in reinstatement if the whole of the property covered by such item nad been
dastroyed exceeds the sum insured herein at the breeking out of any fire or at the commencement Of
‘any destruction of or damage to such property ky any other peril heraby incurred against, then the
Insured shall be considered as being his own insurer for the difference between the sum insured and
the sum representing the cost of reinstatement of the whole of the property and shall bear @ rate able
proportion of the loss_accordinaly.
CONSTRUCTIVE TOTAL LOSS CLAUSE (75% OF ACTUAL GASH VALUE)
Constructive Total Loss due to accidental damage under this pelicy shall mean losses whersupon the
cos of repair Is equal to or exceeding 75% of actual cash value,
CURRENCY CLAUSE
Itis hereby understood and agreed that in case a claimable loss hereunder, if any, is denominated in
curreney other than the currency stated in the Policy Schedule, then the conversion rate shall be the
rmiddle rate for bank notes published by the Benk Indonesia on the date of agreement between the
Insurer and Insured as to the amount of loss.
DEFERRED PREMIUM CLAUSE ( 6 INSTALLMENTS WITHIN 6 MONTHS)
AsattachedMEM
INSURANCE
Attaching to and forming part of Policy No. 0108051700015
DISPUTE CLAUSE
In the event of any dispute arising between the Insurer and the Insured as consequence of the
interpretation of lability or amount of indemnity of this Policy, the dispute shall be settied amicably
within 60 (Sixty) calendar days from the dispute erose. The dispute erises since the Insured or the
Insurer has expressed in writing his disagreement on the subject matter of the dispute.
If the dispute could net be settled amicably, the Insurer shall give the option to the Insured to select
either one of the following dispute clauses as stated betow:
A Indonesian Insurance Mediation Board
B. Arbitration
is hereby declared and agreed that the Insured and the Insurer shall settle the dispute through
Indonesian Ineurance Mediation Board (BMAI) subject to the terms and conditions applied by BMAL
It ig hereby daciared and agreed that the Insured and the Insurer shall settie the dispute through
‘Abitration Ad Hoc as follows :
1, The Ad Hoc Arbitration consists of 3 (three) Arbitrators. The insured and the Insurer shall each
appoint one Arbitrator within 30 (thity) calendar days from the date of the receipt of the written
notification, then the twe Arbitrators shall choose and aproint the third Arbitrator within 14 (fourteen)
‘calendar days ftom the date of appointment of the second Arbitrator. The third Arbitrator shall act es,
Umpire of the Arbitration Ad Hoc.
2. Should there be any feilure 2s to the appointment of the third Arbitrator, the Insured and or the
Insurer could request the Chairman of the court (Ketue Pengadllan Negeri) where the defendant
domiciles to appoint the Umpire.
3, The examination of the dispute shall be settled within 180 (one hundred and eighty) calendar cays
from the cate of the formation of the Arbitration Ad Hoc. The period of examination of the case could be
extended. Upon the agreement of both parties and if itis deemed necessary by the Arbitration Ad Hoc,
the period of exerrination of the dispute could be extended.
4, The Arbitration award is final and enforceable al law and binding the insured and the Insurer. Should
the Insured and or the Insurer feil to comply with the arbitration award, then the award shall be
‘executed under the order of the Chairman of the court (Ketua Pengadilan Negeri) where the defendant
domiciles at the request of the other party in dispute.
6. Other matters which are not provided under this clause shall be subject to the provisions of laws on
zbitration, which currently be the Act of the Reovblic of Indonesia Nr. 30 year 1999 dated August 12,
1989 regarding Arbivation and Altemative Dispute Resolution.
. Court
Itis hereby declared and agreed that the Insured end the Insurer shall settle the dispute through the
Court (Pengadilan Negeri) within the territory of the Republic of Indonesia.MFM
INSURANCE
Attaching to and forming part of Policy No. 0080517000155
ENDORSEMENT 001 GOVER FOR LOSS OR DAMAGE DUE TO STRIKE, RIOT AND CIVIL
‘COMMOTION (SRCC)
Itis agreed and understood that otherwise subject to the terms, exclu-sions, provisions and conditions
contained in the Policy or encorsed thereon, and subject to the insured having paid the agreed extra
premium, this Policy shall be extended to cover loss or damage due to strike, riot and civil commotion
‘hich for the purpose of this Endorsement shall mean (subject alvays to the Special Conditions
hereinafter contained) loss of or damage to the Froperty insured directly caused by
4. the aot of eny person taking part together with others in any disturbance of the public peace
(whether in connection with a strike or lock-out or not) not being an occurrence mentioned in condition 2
f the Special Cond-tions hereof,
\ 2. the action of any lawfully constituted authority in suppressing or attempting to suppress any such
disturbance or in minimizing the consequences of any such disturbance,
3, the wilful act of any strker or lockad-cut worker performed in furtherance of a strike or in resistance
toalock-out,
4, the action of any lavfully constituted authority in preventing or attempting to prevent any such act
or in minimizing the consequences of any such act
provided that Its hereby further expressly agreed and declared that
4. all the terms, exclusions, provisions and conditions of the Policy shell apply in all respects to the
insurance granted by this extension save in so fer as the same are expressly varied by the following
‘Special Conditions, and any reference to loss or damage in the wording of the Policy shall be deemed
to inciude the perils hereby insured against,
2. the following Special Conditions shall apply only to the insurance granted by this extension, andthe
wording of the Policy shall apply in all respects to the insurance granted by the Policy as if this
Endorsement had not been made thereon,
‘Special Conditions
4. This insurance shall not cover
1a) 1088 or damage resulting from total or partial cessation of work or the retarding, interruption or
cessation of any process of operation,
) loss or demage occasioned by permanent or temporary dispossession resulting from confiscation,
‘commandeering or requisition by any lawfully constituted authority,
‘e}. loss or damage cocasicned by permanent or temporary dispose
from the unlawful occupation by any person of such building,
d) consequential loss or liabilty of any king or descrpton, any payments over and above the
indemnity for the material damage as provided herein,
sion of any building resuting
provided nevertheless that the Insurers are not relieved under b) or c) above of any liability to the
Insured in respect of physical damage {o the property insured occurring before dispossession or during
temporary cispossession,
2, This insurance shall not cover any loss or damage occasioned by or through or in consequence,
directly or indirectly, of any of the folowing occurrences, nemely
2) war, invasion, act of foreign enemy, hosfiiies or warike operations (whether wer be declared or
not), civil wer,
b) mutiny, civil commotion assuming the propertion of or amounting te @ popular rising, military
Insurrection, rebelion, revolution, miliary oF usurped power,MFM
INSURANCE
Attaching to and forming part of Policy No. 0108051700185
©) _ any act of any person acting on behalf of or in connection with any organization with ectiviies
directed toward the overthrow by force of the government de jure or de facto or to the influencing of it
by terrorism or violence.
In any action, suit or other proceeding, where the Insurers allege that by reason of the provisions of this
condition any loss or damage is not covered by this insurance, the burden of proving thet such loss or
‘damage Is covered shall be upon the Insured.
3. This ingurance may at any time bo torminated by the Insurers on notice to that effect being given
by registered post at the Insurec's last known address, in which case the Insurers shall be liable to
repay a rateable proportion of the premium for the unexpired term from the date of termination.
4. The limit of indemnity any one occurrence as stated below shall be understood to limit tho
indemnity for all loss or damage covered by this Endorsement curing a consecutive period of 168,
hours.
“The eggregate liability of the Insurers during the period of cover of this Policy shall be limited by
twice the limit of indemnity ary one occurrence.
Limit of Indemnity : any one occurrence
Deductible
any one occurrence
Extra premium :
EXPEDITING EXPENSES CLAUSE INCLUDING AIRFREIGHT (LIMIT 20% OF SUM INSURED
‘AFFECTED ITEM)
‘The insurance by this policy is extended to cover any extra costs incurred in respect of express delivery
airfeight, overtime Sunday and Holiday rates of wages in connection with repairs or replecerment
indernnifiable by this policy.
“The liability of the Insurers under this endorsement shall in no case exceed twenty percent (20 %) ot
‘Sum Insured affected item any one occurrence which the repair or replacement would have cost it
these expenses and had not been incurred,
EXTRA CONTRACTUAL OBLIGATION EXCLUSION CLAUSE
‘This Agreement shall exclude all cover in respect of Extra Contractual Obligations howsoever arising,
such Extra Contractual Obligations being defined as any award made by a court of competent
jurisdiction against an Insurer, which award is not within the coverage granted by any insurance policy.
IMPORTANT NOTICE,
Being an insured, you are ertited to the indemnity for each ciaim in accordance wit the terms arc
conditions stipulated in this policy.
FF your clzim is rejected due to ncn fufllmant of the terms and conditions of this policy and the amount
cf your claim is net more than Rp. 750.000.000,- any one loss and you disagree with such rejection,
you may seek the resolution through Badan Mediesi Asuransi Indonesia (BMA\).
“BMA's services [s free of chargeMFRM
INSURANCE
Attaching to and forming part of Policy No. 01080517000155
- The decision of BMA\ Adjusication is binnidg on us (The Insurer)
= You have freedom fo either accpet or reject EMA\ Adjudication decision
‘You may contact BMAI at
= Phone No. :021-5274145
=FexNo. :021-5274146
Email < info@bmai.or.id
=Website : ww.bmai.orid
INCLUDING LEASED AND HIRED UNIT
Itis hereby agreed that this insurance is extended to indemnify any other party having an interest in the
property insured by virlue of and in accordance with the terms of mortgage, leasing, hiring or renting
agreement, provided such property is not more spectrally insured.
EQLO1
INDUSTRIES, SEEPAGE POLLUTION & CONTAMINATION CLAUSE (N.M.A. 1685)
(‘SUDDEN AND ACCIDENTAL")
‘This Contract does not cover any liability for
(1) Personal Inury or Bodily Injury or loss of, damage to, oF loss of use of property diiectly or
indirectly caused by seepage, pollution or contamination, provided elways that this paragraph (1) shall
nt apply to labiity for Personal Injury or Bodiy Injury or loss of or physical damage to or destruction of
tangible property, or loss of use of such property damaged or destroyed, where such seepage, palution
‘oF contamination Is caused by a sudden, unintended and unexpected heppening during the period of
this Contract.
@) The cost of removing, nullifying or cleaning-up seeping, polluting or contaminating substances
Unless the seepage, pclution or contamination is caused by sudden, unintended and unexpected
happening during the petiod ofthis Contrect.
(3) Fines, penalties, punitive ox exemplary damages.
INFORMATION TECHNOLOGY HAZARDS CLARIFICATION GLAUSE (NMA 2912)
Losses arising, directly or indirectly, out of:
loss of, alteration of, or damage to ; oF
ji areduction in the functionality, availabilty or operation of
‘a computer system, hardware, programme, softwere, data, information repository, microchip, integrated
CGreuit oF similar device in computer equipment or noa-computer equipment, whether the property of the
policyholder of the Insured or rot, do not in and of themeeives constitute an event unless arising out of,
‘one or more of the following perils
fire, lightning, explosion, aircraft or venicle Impact, falling objects, windstorm, hail, tortedo, cyclone,
hurricane, earthquake, volcano, tsunami, flood, freeze or weight of snow.
«nma 2912)MEM
INSURANCE
Attaching to and forming part of Policy No. 0180517000155
INLAND TRANSIT TO INCLUDE RIVER GROSSING WITH LIMIT USD 2,000,000 ONE
‘OCCURRENCE {INCLUDING LOADING AND UNLOADING)
Itis understood end agreed that this policy ie extended to indemnify the insured ageinst loss or damage
to materials {whether temporary or permanent } end any other goods or object intended for
incorporation in the works whi'st such materials goods or object intended for incorporation in the works
‘whilst such materials goods or cbject are in transtt by road or rail or inland waterway enywnere in
Indonesia unless more specially insured under a separate Marine Cargo Insurance Policy but the
Insurer's labilty under this extension shall not exceed USD 2,000,000 per any one conveyance
INSTITUTE RADIOACTIVE CONTAMINATION, CHEMICAL, BIOLOGICAL, BIO-CHEMICAL AND
ELECTROMAGNETIC WEAPONS EXCLUSION
‘This clause shall be paramount and shall overtide anything contained in this insurance inconsistent
therewith
Inno case shell his insurance cover loss damage lability or expense directly or indirectly caused by or
contributed to by or arising from
1. ionising radiations from or contamination by radioactivity from any
nuclear fuel or from any nuclear waste or from the combustion of nuclear fuel
2. the radioactive, toxic, explosive or other hazardous or contaminating
roperties of any nuclear installation, reactor or other nuciear assembly or nuclear component thereof
3. any weapon or device employing atomic or nuclear fission and/or
fusion or other like reaction or radioactive force or matter
4. the radioactive, toxic, explosive or other hazardous or contaminating
properties of any radioactive matter. The exclusion in this sub-ciause does not extend to racioactive
isotopes, other than nuclear fuel, when such isotopes are being prepared, carried, stored, or used for
‘commercial, agricultural, mecicai, scientific or other similar peaceful purposes
5. any chemical, biological, bio.chemical, or electromagnetic weapon,
IT CLARIFICATION AGREEMENT CLAUSE
Property damage covered under this Pelicy shall mean physical damage to the substance of property
Physical damage fo the substance of property shall not include demage to data or software, in
particular any detrmental change in data, software or computer programs that is caused by a deletion,
a corruption or @ deformation ofthe original structere.
Consequently the following are excluded from this Policy
‘A. Loss of or damage to data or software, in particular any detimental change in data, software or
computer programs thats is caused by a deletion, a corruption or a deformation of the orginal structure
fend ary business interruption losses resulting from such loss or damage. Notwitistanding this
exclusion, loss of or damage to data cr software which is the direct consequence of insured physical
amage to the substance of propery shall be covered,
8 Loss or damage resuiting from impairment in the function, availabilty, range of use or
sccessbilty of data, software or computer programs, and ary business interruption losses resuting
from such loss or damage.MRM
INSURANCE
Attaching to and forming part of Policy No. 01080517000155
LOSS NOTIFICATION CLAUSE (30 DAYS)
Notwithstanding anything contained herein to the contrary itis agreed that this insurance will nt be
prejuciced by any inadvertent delays, errors or omissions in notifying the Insurer of any circumstances,
Or events giving tse or likely to give rise to a claim under this policy.
NOMINATED ADJUSTER CLAUSE (PT. CUNNINGHAM LINDSEY, PT. AXIS INTERNATIONAL
INDONESIA, PT. PRIMA ADJUSTER, PT. ROYAL CONOCEAN, PT. CHARLES TAYLOR
ADJUSTING/ PT. RADITA HUTAMA INTERNUSA)
In the event of any claim under this Pelicy one of the following adjuster shall be appointed :
PT. Cunningham Lindsey
PT. AXIS Iniemational indonesia
PT. Prima Adjuster
PT. Royal Conocean
PT. Charlee Taylor Adjusting / PT. Radite Hutarra Intemusa
ny other mutually agreed between insured, PT Howden Insurance Brokers Indonesia and insurer.
NOTICE OF CANCELLATION CLAUSE (30 DAYS)
Notwithstanding anything contained te the contrary in termination coneitions of this Policy, the period of
‘cancellation notice Is extended to 30 (thirty) days.
NUCLEAR ENERGY EXCLUSION CLAUSE 1994 - NMA 1975 (A) ( WORLDWIDE EXCLUDING USA
AND CANADA)
‘This Contract shall exclude Nuclear Energy Risks whether such risks are written directly and/or by way
of reinsurance andlor via Pocls andlor Associations,
For all purposes of this Contract Nuclear Energy Risks shall be defined as all ficst party and/or third
party insurances or Reinsurances (other than Workers” Compensation and/or Employers’ Liebilfy) in
respect of.
I AllProperty on the site of a nuclear power station. Nucleer Reactors, Reactor Buildings and Plant
Equipment therein on any site other than a nuclear power station.
IL All Property, on any site (including but not limited tothe cites referred to in|. above) used or having
been used for:-
a. The generation of nuclear energy; or
The preduction, Use or Storage of Nuclear Meteril
Ii, Any other Property eligible for insurance ky the relevant local Nuctear Insurance Poo! andlor
‘Association but only to the extent of the requirements ofthat local Pool and/or Association.
IV._ The supply of goods and services to any of the sites, described in I. to Ill. above, unless such
insurances or reinsurances shall exclude the perils of irradiation and contemination by Nucleer Materiel.
Except as undemoted, Nuclear Energy Risks shall nat include:-
ee any insurance of reinsurance in respect of the construction or erection or installaton or
replacement or repeir or maintenance or decommissioning of property 28 descrined in I. to i, above:
(ncluding contractor's plant and equipment
iL. Any Machinery Breakdown or other Engineering insurance or reinsurance not coming within the
scope of a. above:MAM
INSURANCE
Attaching to and forming part of Policy No. 0108051700155
Provided always that such Insurance or reinsurance shall exclude the perils of irradiation ard
contamination by Nuclear Material
However, the above exemption shall not extend to =
1. The provision of any insurance or reinsurance whatsoever in respect of:-
a Nuclear Material
b. Any Property in the High Radioactivity Zone or Area of any Nuclear Installation as from the
‘troduction of Nuclear Material or - for reacior installations - as from fuel loading or first criticality where
‘so agreed with the relevant local Nucleer insurance Pool andior Association,
2. The provision of any inaurence orreinaurence for the uncemeted perils:
= Fire, ightning, explosfon;
~ Earthquake;
Ty ~ Aircraft and other aerial devices or articles dropped therefrom:
= Irradiation and radioactive contamination;
= Any other peril ineurs¢ by the relevant local Nuclear Insurance Pcol anclor Association;
In respect of any other Property not specified in (1) above which direcily involves the Production, Use or
Storage of Nuclear Material 2s from the introduction of Nuciear Material into such Property.
Definitions
“Nucleer Material” means:-
i. Nuclear fuel, other than netural uranium and depleted uranium , capable of producing energy by a
self-sustaining chain process of nuclear fission outside a Nuclear Reactor, either alone or in
combination with come other material; and
li, Radioactive Products or Waste.
"Radioactive Products or Waste" means any radioactive material produced in, or any material made
radioactive by exposure to the raciation incidental to the production or utilisation of nucleer fuel, but
does not include radioisotopes which have reached the final stage of fabrication so as to be usable for
‘any scientific, mecical, agricultural, commercial or industrial purpose.
"Nuclear Installation" means:-
1. Any Nuclear Reactor,
7 i Any factory using’ nuclear fuel for the production of Nuclear Material, or any factory for the
processing of Nuclear Material, inclucing any factory for the reprocessing of irradiated nuclear fuel, and
ji, Any facility where Nuclear Material is stored, other than storage incidental to the carriage of such
material
luclear Reactor" means any structure containing nuclear fuel in such an arrangement that a seff-
‘sustaining chain process of nuclear fission can occur therein without an additional source of neutrons.
“Production, Use of Storage of Nuclear Material" means the production, manufacture, enrichment,
cconditicning, processing, reprocessing, use, siorage, handling and disposal of Nuciear Material
Property" shall meen all land, buildings, structures, plant, equipment, vehicles, contents (including but
rot limited to Iquids and gases) and all materials of whatever description whether fixed or not.
"High Radioactivity Zone or Area" means:
i. For nuclear power stations and Nuclear Reactors, the vessel or structure which immedictely
Contains the core (Including its support and shrouding) and all the contents thereof, the fuel elements,
the conirol rods and the irradiated fuel store; and
ii Fer non-reactor Nuciear Installations, any area where the level of radioactivity requires the
revision of biological shield,
NMA 19754,MFM
INSURANCE
Attaching to and forming part of Policy No. 0080517000155,
PAYMENT ON ACCOUNT (25%)
itis hereby egreed that payment on account of any recoverable loss under thie policy will be promptly
‘mace by the insurers to the Insured if desited by the Insured provided that such payment are deductible
from the finally agreed claim settlement figures.
PROFESSIONAL FEE (5% OF LOSS MAXIMUM USD 25,000)
“The insurance by this section includes in addition an amount in respect of Architects, Surveyor anc
Consulting Engineers Fees or other professional fees and normally relmbursable expenses necessatily
incurred by the Insured in the reinstatement ofthe Insure¢ Property consequent upon its loss,
destruction or damage but not for preparing any eleim, it being understaod that the amount payable for
such fees shall not excess that authorized uncer the scales authorized by the Royal Institute of British
Architects, the Royal Insitution of Chartered Surveyors, the Association of Consulting Engineers of
the ecuivalent body in the country of domicile of the professional body concerned.
Limit : 5% of Loss Maximum USD 25,000
REBATE CLAUSE
* 25% of Net Premium if Loss Ratio <10%
* 18% of Net Premium if Loss Ratio 10% - 15%
RECOVERY CHARGES INCLUDING TOWING FEE ( LIMIT 30% OF SUM INSURED AFFECTED
ITEM)
In the event of the indemnifiable loss or damage occurring as provided in this policy and the equipment
‘20 ineured becoming accidentally immobilized in any physical situation where itis working cover under
the policy shall extend to include necessary cost of recovery and/or with drawer of such item(s) up to
Limit 30% of Sum insured affected item aggregate. These cost of indemnifiable in additon to the sum
insured as shown on the certificate of insurance.
REMOVAL OF DEBRIS (10% OF SUM INSURED AFFECTED ITEM)
Itis hereby agreed that subject to adaitional premium to be paid, this ineurance is extended to
indemnity the Insured in respact of the cost of removal of debris, demolition and any temporary repairs
necessary (including the insured’s legal liability for the cost of removal of debris, demolition, and
‘temporary repairs in regard ta adjoining premises, roadways or waterways as well as on the site),
‘consequent upon the éestruction of of camage to any property insured by this Policy occasioned by any
peril thereby insured against
Provided always that
Such costs not recoverable under any other insurance:
b. The indemnity afforded by this insurence shall not apoly to or include liatility assumed by the
Insured under agreement entered into after the commencing date ofthis insurance, unless such lability
would have attached to the Insured in the absence of such agreement.
‘The limit of lability under this extension is 10% off Sum Insured Affected item.MFM
INSURANCE
Attaching to and forming part of Policy No. 0108051700055
SISTER HEAVY EQUIPMENT CLAUSE
In the event of colision between heavy equipment owned by the Insured, and which are insured uncer
thie Policy Schedule, enly one Physical Damage Deductible will apply.
Should diferent deductible apply to the heavy equipment insured, the largest deductble applying will
anni.
‘TERRORISM AND SABOTAGE EXCLUSION CLAUSE
‘Notwithstanding any provision to the contrary within the this Policy or any endorsement thereto It Is
agreed that this Policy excludes loss. damage, cost or exoense of whatsoever nature directly or
indirectly caused by, resulting from or in connection with any act of terrorism and or sabotage
regardless of any other cause or event contibuting concurrently or in any other sequence to the loss,
‘Notwithstanding anything which may be defined in any laws or regulatons to the contrery, for the
purpose of this Endorsement, all terminology of Terrorism and Sabotage shall be deemed to mean 2s
defined below.
2) Terrorism is an act, including but not limited to the use of force or violence andior the threat thereof,
cf any person or group(s) of persons, whether acting alone or on behelf of or in connection with any
organization(s) or governments), committed for politcal, religious, ideological or sila purposes
iclucing the Intention to influence any government andlor to put the public, or any secton of the public,
in fear.
b) Sabotage is 2 destructive act against property or the obstruction of work process or eausing the
reduction in value of work, by any persen or group|s) of persons whather acting alone or on behalf or in
conneciion with any orgenization(s) or governmeni(s) in an attempt to achieve a politcal, religious,
Ideological or simiar goals including tne intention to influence any government andlor to put the public,
or any section of the public, in fear
“This policy also excludes loss, damage, cost or expense of whatsoever nature directly or indirectly
caused by, resuiting from or ia connection with eny action takon in controling, preventing, suppressing
oF in any wey relating to any act of terrorism and sabotage.
Ifthe Insurers allege that by teason of this exclusion, any loss, damage, cost or expense Is not covered
by this Policy, the burden of proving the contrary shall be upon the Insured.
In the event any porting of this exclusions is found to be invalid or unenforceable, the reminder shall
remain in ful force and effect,
‘TRANSMISSION AND DISTRIBUTION LINES EXCLUSION CLAUSE
All renemission and distibution lines, inclucing wires, cables, poles, pylons, standards, towers and ary
equipment of any type which may be attendant to such inatallatons, inclucing subettions of any
description. This exclusion includes but isnot limited to transmission or distribution of electrical power,
telephone or telegraph signals, and all communication signals whether audio oF visual
‘This exclusion epplies to above and below ground equipment which are more than 150 meters (or 500
feet) ‘rom an insured structure.
‘This exclusion applies both to physical lose or damage to the equipment and ail business interruption,
consequential loss, and/or other contingent losses related to transmission end distribution lines.MFM
INSURANCE
Attaching to and forming part of Policy No. 0108517000155
CONDITIONS
CONDITION
Allowance whilst the equipment being repaired, replaced or total loss cue to accident (limit USD
2.600/day, Mex 14 Daysiunit from date of Loss, Max. USD 260.000 in aggregate with time excess 7
days - Subject to Material Damage Proviso Warranty)
Extended to include Theft and Burglary
Extended to cover loss and / or damage to wiring and cabling and other consumables subject due io
perils covered by the Policy. The basis of loss settlement for such wiring, cabling and other
consumables will follow the BASIS OF LOSS SETTLEMENT in this slip.
=To include cover for equipment which are operated on Barge/Pontoon and the likes (Limit USD
1,000,000 any one occurrence in aggregate)
= To include cover for equipment whicn are operated underground and the likes (Limit USD 1,000,000
any one occurrence in aggregate)
~ To include cover for loss and ! or damage dus to mechenicel end Jor electricel breakdown of the
equipment ( Limit USD. 5,000,000 any one occurrence in aggregate)
~ To Include cover due to Damage to Equipment Resulting From Dangerous Relic Item.
= Basis of Valuation of Sum Insured: Agreed Value as declared at the time of policy inception or
attachment of risk for additional equipment
~ Basis of Loss of Settlement: Agreed Value Subject to Independent Appraisal
“In the case where repairs take place settlement shall be made on the basis of the cost of restoration
to working order existing immediately prior to the occurrence of the loss or damage without delay and.
by using normal work practice and comprising the value of replacement parts, labour charges at
standard rates o wages, transport costs at ordinary rates and customs dues or other impost if; lavied.
‘No deduction shall be made for depreciation in reepect to parts replaced.
‘The cost of any provisional repair will be bome by insurer if it constituies part of the final repair and
does not increase the total repair cost.
“Incase of total loss, the insurer maximum Fabilty is actual cash value of the equipment prior to the
loss o agreed value whichever is lower
GEOGRAPHICAL LIMIT
Anywhere in Indonesia
LAW & JURISDICTION
Indonesia
SPECIAL CONDITION
‘A. Upon declaration and agreement of premium terms with Insurers, the policy is extended to cover,
Machinery Breakdown as defined in the Machinery Breakdown Extension Endorsement.
B. Extended to cover Storage Ris«s of the Equipment es defined in the Storage Risks Extension
Endorsement
Itis agreed that for refurbished or reconditioned items the calculation of actual velue shall include due
consideration given to the value and extent of such refurbishment or reconditioning work, using
evidence provided by the Insured, current dealer quoted market values for similar items and opinion of
independent loss adjusters. For the purposes of clarification, Memo 2.C) shall not apply to such
refurbished or reconditioned items.MEM
INSURANCE
Attaching to and forming part of Policy No. 0108051700155
‘THE BUSINESS
Integrated Mining Contractor & Servicas, General Services, Plant Hirers and Operators and all other
related activities undertaken by the insuredMAM
INSURANCE
Attaching to and forming part of Policy No. 0108051700015
EXCLUSIONS
‘SUBJECTIVITY
- Excluging offshore construction andior activities
= Warranted to be operated by skiled and authorized person
= Warranted standard maintenance and cod operation
= No deterioration up to binding deteMFM
[NSURANCE
CONTRACTORS’ PLANT AND MACHINERY
INSURANCE POLICY
Whereas the Insured named in the Schedule hereto
has made to the
PT. Asuransi Mitra Pelindung Mustika
(hereinafter called ‘the Insurers’) 2 written proposal by
completing @ questionnaire which, together with any
other statement made in writing by the insured for the
purpose of this Policy, is deemed to be incorporated
herein,
Now this Policy of insurance witnesses that, subject to
the Insured having paid to the Insurers the premium
mentioned in the Schedule and eubject to the terms,
exclusions, conditions and provisions contained herein
or endorsed hereon,
The Insurers hereby agree with the Insured that if at
any time curing the period of insurance stated in the
Schedule or during any subsequent period for which
the Insured pays and the Insurers mey accept the
premium for the renewal ofthis Policy, te items (or any
part thereof) entered in the Schedule, whilst at the
location orin the geographical area mentioned therein,
suffer any unforeseen and sudden physical joss 0”
demage from any cause not specifically excluded, in a
manner necessitating repair of replacement,
The Insurers will indemnify the Insured in respect of
such loss or damage as heteinefter provided by
payment in cash, replacement or repair (at their own
option) up to an amount not exceeding in any one year
ofinsurance in respect of each ofthe items specified in
the Schedule the sum set opposite thereto and not
exceeding in all the total sum expressed in the
Schedule as insured hereby
This Policy. shall apply whether the insured tems are
at work or at rest, or being dismantled forthe purpose
of cleaning or overhauling, or in the course oF the
aforesaid oparatiors thamsalves, or in the course of
subsequent re-erection, but in any case only after
successtul commissioning
Exclusions
The Insurers shall not be fable for
a. the deductible stated in the Schedule to be borne by
the Insured in any one ocourrence; if more than one
item is lost or damaged in one occurence, the
Insured shail not, however, be called upon to bear
POLIS ASURANS!
MESIN DAN PERALATAN KONTRAKTOR
Bahwa Tertanggung yang diseout daiam ikntisar ini telah
mengajukan kepada
PT. Asuransi Mitra Pelindung Mustika,
(yang selanjutrya disebut “Penanggung’) suatu
Permohonan tertulis dengan metengkapi kuesioner,
bersema dengan pemyataan lain yeng dibuat secara
tertulis oleh Tertanggung yang untuk kepentngan Palis ini,
dianggap menjadi kesatuan daripadanya,
Maka Polis Asuransi ini menyatakan bahwa, dengen syarat
TTertanggung telah membayer premi kepada Penanggung
sobagaimana disebut dalam Ikntisar dan tunduk pada
syerat, pengecualian, Kondisi dan keteituan yang
terkandung di delamnya atau yang dibuat endosemen
padanya,
Penanggung dengan ini setuju dengan Tertanggung bahwa
|ika paca suatu saat selema jangka waktu asuransi seperti
yang tercantum dalam Ikhtisar atau selama jangka wakiu
berkutnya i mana Tertanggung membayar den
Penanagung menerima premi untuk perpanjangen Polis in,
barang-barang (etau bacian darinya) yeng tercantum
dalam Ikttisar, selama berada pada lokasi atau di wilayeh
‘geografis yeng disebuikan, menderita sustu kerugian atau
kerusakan fsik yang tidak terduga dan tiba-tba oleh sebab
‘apapun yang tidak dikecualiken seoara khusus, sehingga
‘memeriukan perbaikan atau penggantian,
Penanggung akan member! gant rugi kepada Tertanggung
setubungan dengan kerugian ata kerusakan tersebut
sebagaimana ditetapkan selanjutnya dengan pemoayaran
unai, penggantian atu perbaixan (aias
Penanggung) sampai dengan suatu jumlah yang tidak
melebihi dalam satu tahun asuransi sehubungan dengen
tiap-tiap barang yang tercantum dalam Ikntiser suatu
jumlah yang ditentukan di dalamrya dan ticak melebini
secara keseluruhan jumian yang tertera delam Ikhisar
sebagai yang diasuransikan.
Pols ini berleku bak barang-barang yang diasuransiken
pada seat kerja atau saat istrehat, atau sedang diocngkar
untuk kepertuan —pembersihan atau perawatan
‘monyoluruh, ateu dalam rangkaian kegiatan sendiri yang
teleh disedut sebelumnya, atau dalam rengkaien
pemesangan Kembali, tetapi dalam hal apapun hanya
setelah uj coba berhasil
Pengecualian
Penanggung tidak bertanggung jawab untuk
a. tisiko sendiri yang tercantum dalam Ikhfisar yang
ditanggung cleh Tertanggung untuk setiap kejadian,
jika lebih dari satu barang hilang atau rusak dalam
4MFM
[TT SHBRAAAA the highest single deductible applicable
tosuch items,
b. loss or damage due to electtical or mechanical
breakdown, failure, breakage or derangement,
freezing of coolant or other fuid, defective
lubrication or lack of oil or coolant, but if as 2
consequence of such breakdown or derangement
an accident occurs causing external damage, such
consequential darrage shall be indermifiable;
c. loss of or damage to replaceable parts and
attachments such as bits, cris, knives or other
cutting edges, saw blades, dies, moulds, pattems,
pulverizing and crushing surfaces, screens and
sieves, ropes, belts, chains, elevator and conveyor
bands, batteries, tyres, connecting wires and
cables, flexible pipes, jointing and packing material
regularly replaced;
4d, lees or derrage due to explosion of any boiler or
pressure vessel subject to intemal steam or fluid
pressure or of any intemal combuston engine;
€. loss of or damage to vehicles designed andlivensed
for general read use unless these vehicles are
‘exclusively used on constructon sites;
4. less of or damage to waterbome vessels or craft,
g. loss or damage due to total or partial immersion in
tidal waters;
h loss or damage whilst in transit unless otherwise
agreed by endorsement;
iL lose or damage as a direct consequence of the
continual influence of operation ( eg. wear and tear,
Corrosion, rust, deteroration due 10 lack of use and
normal atmospheric conditions):
|. loss oF damage occurring whist any insured item
is undergoing a test of any kind ors being used in
ary manner or for any purpose other than that for
which it wes designed;
k. less of or damage to plant and/or machinery
working underground unless otherwise agreed by
endorsement;
|. loss or demage directly or indirectly caused by, of
arising out of, oraggravated by war, invasion, act of
foreign enemy, hostiities (whether war be declared
or nol), civil war, rebelion, revolution, insurrection,
salu kejadian, Tertanggung fidak akan,
bageimanapun, menenggung lebih dari isixo sendii
yang teringai yang berlaku untuk barang-barang
tersebut;
kerugien atau kerusaken Karena kerusekan elektrk.
atau. mekenik, kegagalan, patah atau kekacauen
mekanik, membekunya cairan pendingin atau cairan
lainnya, cacat pelumasan atau kekurengen oli atau
‘cairan pencingin, tetapi ka sebagai akibat kerusakan
atau kekacauan tersebut terjadi suatu kecelakaan
yang menyebabkan kerusakan eksternal, kerusakan
larjutan tersebut dapet diberi gant rugi
kerugian atas atau kerusakan pada bagian dan alat
pelengkep yang dapat diganti seperti kepingan, bor,
pisau atau sisi pemnotong lainnya, mata pisau gergail,
cetakan, tuangan, pola, penghancur den pemecah
permukaan, layar dan saringan, tal, sabuk, rani, lt
dan ban befjaian, baterai, ban, kawat dan kabel
penghubung, ppa feksibel, bahan penyambung dan
pengemas yang diganti secare teratur,
kerugien atau kerusakan karena ledakan suatu boiler
atau bejana bertekanan dengan syarat perguapan
intemal atau tekanan cairan atau cari statu mesin
pombakeran internal;
kerugian atas teu kerusakan pada kendaraan yang
didesain dan berisensi untuk peaggunaan jalan
ka. kendarasn tersebut s2cara
eksklusif digunakan pada lokasi konstruksi
kerugian atas atau kerusakan pada kendaraan ait
ateu perahu;
kerugian atau Kerusakan Karen terbenam total atau
ssebagian dalam air pasang;
kerugian atau Kerusakan selama dalam perjelanan
kecuali jka disetujui lain dengan endosemen:
kerugien atau kerusaken sebagai akibat langsung deri
pengaruh tefus-menerus dari pengoperasien
(misainya aus, korosi, karat, penurunan mutu karena
kekurangan pemakaian dan kondisi udara yang
normal);
kerugian atau kerusakan yang tejadi selama bereng-
barang yang diasuransixan sedang diuji coba dalam
bentuk apapun atau digunakan dengan cara apapun
‘atau dengan tujuan apapun selan dar untuk apa
barang-barang tersebut didesain;
kerugian atas atau kerusakan pada peralaten
dan/atau mesin yang sedang bexerja ci bawah tanch
keovalijika disetuiui lain dengan endosemen;
kerugian atau kerusakan yeng secara langsung ateu
tidak lengsung disebabkan olen, atau timbul dan, ateu
diperburuk oleh perang, invasi,tindakan musuh asing,
2Mino
INS RAIRAYMiststrike, lock-out, vl commotion, militery
or usurped power, a group of malicious persons or
persons acting on behalf of or in connection with
ary politcal organization, conspiracy, confiscation,
commandeering, requisition or destruction, or
demage by order of any government de jure or de
facto or by any public authority
m.loss or damage directly or indirectly caused by, or
arising out of, or aggravated by nucleer reaction,
nuclear radiation or radioactive contamination;
1, loss oF damage cue to any faults or defect existing
at the time of commencement of this Policy within
the knowledge of the Insured or his representatives,
Whether such faults or defects were known to the
Insurers or not,
6. loss or damage directly or indirectly caused by, or
arising out of , or aggravated by the willful act or
wilful negigence of the Insured or his
reprasentatives;
p. loss or damage for which the supplier or
manufacturer is responsible either by law or under
contract,
4. consequential loss or liability of any kind or
doseriotion;
1. lessor damage discovered only at the time of taking
an inventory or during routine servicing
In any action, suit or other proceeding where the
Insurers allege that by reason of the provision ot
exclusions m — q above any loss, destruction or
damage is not covered by this Policy, the onus of
proving that such loss, destruction or damage is
covered shall be upon the Insured.
Provisions
Memo 1- Sum insured
it shall be a requirement of this Policy that the sum
insured ie equal to the cost of replacement of the
insured items by new items of the same kind and
capacity, which means their cost of repiacement
including, eg. freight, customs duties and dues. if any,
and cost of erection.
If the sum insured is less than the amount required to
be insured, the Insurers shall pay ony in such
proportion as the sum insured bears to the amount
required to be insured. Every item if more than one
shall be subject to this condition separately
pormusuhan (balk perang dideklarasixan atau tidak),
perang saudara, pemberontakan, —_revolusi,
pembangkitan rakyat, pembangkangan, kerusuhan,
pemogokan, penghalangan bekerja, hunw-hara,
kekuaten militer atau pengambilalihan kekvasaan,
sekelompok orang jahat atau orang-oreng yeng
bertindak atas nema alau berkaitan dengan suatu
corganisasi polit, persekongkolan, —penyitaan,
penahanan, pengambilalinen ateu penghencuran
atau pengrusakan atas perinteh pemerintan de jure
atau de facto atau perintzh oleh pihak yang
kerwenang;
mm. kerugian atau kerusakan yang secara langsung atau
tidakclangsung cisebabkan oleh, atau timbul dari, atau
Giperburuk oleh roaksi nukli, radiasi nuklr’ atau
kontaminas’ radioakif,
n._ kerugian atau kerusakan karena suatu kesalahan atau
cacal yang telah ada pada saat mulai bertekunya Polis
ini dengan sepengetahuan Tertanggung atau
wakiinya, baik kesalehan atau cecat terseout
cikstahui Penanggung atau tidak
‘o. kerugian atau kerusakan yang secara langsung atau
tidak langsung cisebabkan oleh, atau timbul dani atau
diperouruk oleh tindakan sengaja atau keialaian yang
melampaui bates deri Tertanggung atau wakilnya;
p. kenugian ataukerusakan dimana pemasok atau pabri«
pembuat bertanggung jawab baik secara hukum atau
berdasarkan kontrak;
q.kerugian lanjutan atau tanggung jawab dalam bertux
‘atau deskripei apapun.
r. kerugian atau kerusakan yang ditemukan hanya pada
saat inventarisasi atau salama perbaikan rutin.
Dalam setiap tindaken, qugatan atau proses hukum lain di
mana Penangoung menyataken bahwa berdasarkan
ketentuan pengecualian m - q_ di ates suatu kerugian
kehancuran atau kerusakan tidak djamin oleh Pols ini,
kewajban pembuktian batwa kerugian, kehancaran atau
kerusakan tersebut cijamin berada pada Tertanggung.
Ketentuan
Nemo 1 ~ Harga Pertanggungan
Merupakan suatu. persyaratan Polis ini bahwa_herga |
pertanggungan adalah sama dengan biaya penggantian
arang yang diasuransikan dengan barang baru dengan
jenis dan Kepasitas yang sama, yang berarti biaya
penggantian termasuk, misalnya ongkos angkut, bea cukai
dan pajak.jike ade, dan biaya pemasangen,
Jka harga pertanggungan kurang dari harga yang
dpersyaratkan untuk —diasuransikan, — Penanggung
membayar hanya proporsi harga pertanggungan terhadap
jumigh yang dipersyaratkan untuk diasuranskan, SetiepMFM
[NSURANCE
Memo 2~ Basis of Loss Settlement
In the event of any loss or damage the basis of any
sottloment under this Policy shall bo as follows:
a, In cases where damage to an insured item can be
repaired — the Insurers shall pay expenses
nocessarily incurred to restore the damaged item to
its former state of serviceability plus the cost of
dismantling and re-erection incurred for the purpose
of effecting the repairs as well as ordinavy freight to
and from a repairshop, customs duties and dues, i
any, to the extent such expenses have deen
included in the sum insured. If the repairs are
‘exectted at a workshop ovined by the Insured, the
Insurers shall pay the cost of materials and wages
Incurred for the purpose of the repairs plus @
reasonable percentage to cover overhead charges,
No deduction shall be made for depreciation in
respect of parts replaced, but the value of eny
salvage shall be taken inio account
If cost of repairs as detailed hereinabove equals or
‘exceeds the actual value of the insured item
immediately before the occurrence of the damage,
the item shal be regarded as destroyed end
settlement shall be made on the basis provided for
in b below,
b. In cases where an insured item is destroyed ~ the
Insurers. shall pay the actual value of the item
immediately before the occurence of the loss,
including charges for ordinary freight, cost of
erection, customs duties, if any, provided such
expenses have been included in the sum insured
such actual value to be calculated by deducting
proper depreciation from the replacement value of
the item, The value of any salvage shall be taken
into account
Any extra charges incurred for overtime, night work,
work on pubic holidays, and express freight shall be
covered by this Policy only if espacially agreed in
writing
The cost of any alterations, adcitions, improvements,
or overhauls shall not be recoverable uncer this Policy
The cost of any provisional repairs shall be borne by
the Insurers if such repairs constitute pert of the final
repairs and do net increase the total cost of repair
‘The amount payable by the Insurers according to the
above-mentioned provisions shall be reduced by the
deductible stated in the Schedule,
The Insurers shall make payments only after being
satisfied by production of the necessary bills and
‘parang jika lebih deri satu aken tunduk pada kondisi in
ssecara terplsah.
Momo 2 ~ Dasar Penyolosaian Kerugian
Dalam hal penyelesaian kerugien atau kerusaken dasar
tlap penyelesalan berdasarkan pails Ini adalah sebagal
berkut:
‘a. Delam hal korusakan atas barang yang dasuransiken
dapat diperbaiki ~ Penanggung aken membayar biaya
yang diperluken untuk memperbaiki barang yang
rusak fersebut ke kondisi pakainya semula dtamisah
bieya pembongkeren den pemasangan kemball yang
‘imbul untuk tujuan melakuken perbaikan dan juga
‘ongkos angkut biasa ke dan dari suatu bengkel, bea
‘cukai dan pajak,jika ada, dengan syarat baya-biaya
fersebut sudah_—tenmasuk dalam —_herga
pertenggungan. Jka perbalcen dllaksanaken dl
bengkel milk Tertanggung, Penanggung akan
membayar biaya material dan upah yang timbul untuk
{ujuan perbaikan ditambah suatu persentase yang
\wajar untuk menutupi biaya operasional
Tidak eda potongan dibuat untuk depresiasi
ungan dengan Komponen yang dgnll, tetapi
nilai sisa barang akan diperhitungkan.
Jika biaya perbaixan sebagaimana diursikan di ates
sama dengan atau melebini rilei sebenamya dori
barang yang diasuransikan sesaat sebelum terjadinya
suatu Kerusakan, barang tersebut aken danggap
hancur dan penyalesaian akan dilakukan ates dasar
‘sesuai dengen b di bawah,
b. Dalam hal dimana suatu berang yang diasuransixan
hancur — Penanggung akan membeyar_nilai
sedenemya barang tersebut sesact sebelum
teriadinya kerugian, termasuk ongkos angkit biasa,
biaya pemasangan dan bea cukai, jka ada, dengan
syarat biaya tersebut telah termasuk calam herga
pertenggungan, nilai sebenamya tersebut dihitung
dengan mengurangkan depresiasi yang tepat dat nial
penggantian barang tersebut. Nilai setiap sisa barang
akan diperhitungkan
Setigp biaya ekstra yang timbul untux lembur, Kerja
malam, kerja pada hari libur umum, dan ongkos angkut
‘ekspres akan dijamin oleh Pols ini hanya jika secara
khusus dsetujui secara tertuls
Biaya setian perubahan, perembahan, peningkatan atau
perawatan menyeluruh tidak depet dijamin berdasarcan
Palis ini.
Biaya perbaikan sementara akan ditenggung olen
Penanggung jika perbaikan tersebut merupakan bagian
dari perbaikan ekhir dan tidak menaikkan total biaya
perbaikan
Jumian yang capat dibayar olen Penanggung menurut
ketentuan tersebut di atas akan berkurang dengan risiko
sendiri yang tercantum dalam Ikhtisar,MFM
JTUSGLFREAISI ist the repairs have been effected of
replacerrent has taken place, as the case may be.
Conditions
1. The due observance and fulflment of the terms of
this Poicy in so far as they relate to anything to be
done or complied with by the Insured and the truth
of the statements and answers nthe questionnaire
and proposal made dy the Insured shall be 2
condition precedent to any liability of the Insurers
2, The Schedule shall be deemed to be incorporated
in and form part of this Policy and the expression
“this Policy’, wherever used in this contrac, shall
be read as including the Schedule. Any word or
expression to which a speciic meaning has been
attached in any part of this Policy or of the
‘Schedule shall bear such meaning whereveritmay
appear
3. The Insured shall at his own expense take all
reasonable precautions and comply with all
reasonable recommendations of the Insurers to
prevent loss or damage and comply with statutory
requirements and manufacturers
recommendations.
4, a. Representatives of the Insurers shall at any
reasonable fime have the right to inspect and
‘examine the risk and the Insured shall provide
the representatives of the Insurers with all
details and information necessary for the
assessment of the risk.
b. The Insured shell immeiately notify the Insurers
by telegram and in wrting of any material
change in the risk and cause at his own
‘expense such additional precautions to be
token as circumstances may require, and the
scope of cover andor premium shall, i
necessary, be adjusted accordingly. 'No
materal alteration shall be made or admitted by
the Insured whereby the risk is increased,
Unless the continuance of the insurance Is
confirmed in writing by the Insurers,
©. In the event of any occurrence which might give
rise to a claim under this Polcy, the Insured shell
a. immediately notify the Insurers by telephone or
telegram as well as in waiting, gving an
Indication asto the nature and extent of the loss
or damage;
b. teke all reasonable steps within his power to
minimize the extent of the loss or damage,
6. preserve the parts affected and meke them
available for inspection by a representative or
surveyor of the Insurers;
Penanggung akan melakukan pembayaran hanya setelah
puas dengan diejukannya tagihan den dokumen yang
diperukan bahwa perbaikan telah dikerakan atau
penggentian telah dlakukan, sebagaimana mestiny
Kondisi
1
5
Pentaaian dan pemenuhan syarat-syarat pada Polis
ini, sejeuh yang berkaitan dengan epapun yang herus
cilaksanekan atau dioetuhi olen Tertanggung, dan
kebeneran pernyataan dan jawaban dalam kuesioner
dan permehonan yang dibuat oleh Tertanggung
menjadi prasyarat alas segala tanggung jawab
Penanggung.
Ikhtisar dianggao _menjaci_kesatuen deri dan
merupakan bagian Polis ini den ungkagen “Polis ini”
dimanepun digunakan paca kontrak ini, herus
dibaca sebagai termasuk Ikhtisar. Seliap keta atau
ungkapan yang memiiki arti knusus yang terlekat di
agian manapun Pols ini tau ikhtisar mengandung
art tersebut di manapun unokepan itu muncul
Tertanggung ates biaya sendiri harus melakukan
semua tindekan penceganan yang wajar_ dan
mematuhi semua rekomendasi yang walat dari
Penanggung untuk mencegah kerugian atau
kerusakan dan memetuhi peraturan perundang-
undangan dan rekomendasi pabrik
‘a. Wakil Penanggung pada setiap waktu yang wajar
beihak menginspeksi dan mengkaji risko dan
Teftanggung harus memberi Kepade Waki
Penanggung semua Keterengan inci dan
informasi yang diperluken untuk penilaianrsiko.
b. Tertanggung harus _segera_memberitahu
Penanggung dengan telegram dan secara tertulis,
ates setiap perubahen materil pada risiko dan
melakuken atas _biaya_sendiri__tindakan
pencegahan tambahan untuk cilekukan bila
keadaan memeriukan, dan luas jaminan dan/etau
premi, jike perls, disesuaikan sebagaimana
mestinya. Tidak ada perubahan materi! yang
dibuat atau diakui Tertanggung dimana fisiko
menjadi meningkat, kecualijika kelanjutan
asuransi ini dkonfrmesi secara tertulis clen
Penanggung,
Dalam hal suatu kejadian yang dapat menimbulkan
Haim berdesarkan Pois ini, Tertenggung harus
. segera membertehu Penanggung baik dengan
telepon atau telegram dan juga secara tertulis,
member suaiu indkasi ates sfat dan tingkat
kerugian etau kerusskan;
b. melakukan semua langkah yang wajar yang
berada di delam = kekuasaannya untuk
memperkecil tingkat kerugian atau kerusakan;[NSURANTE
4d. furnish all such information and documentary
evidence as the Insurers may require:
. inform the police authorifes in the case of loss
or damage due to theft or burglary
‘The Insurers shall on no account be fable for loss oF
camage of which no notice has been received by the
Insurers within 14 days of ts occurrence
Upon notfication being given to the Insurers under
this condition, the Insured may carry outrepairs of any
minor damage or replace items which have sustained
any minor damage; n all otter cases a representatve
cof the Insurers shall have the opportunity of inspecting
the loss or damage before any repairs or alterations
are effected. Ifa representative of the Insurers does
not carry out the inspection within 2 period of time
which could be considered adequate under the
circumstances, the Incured shal bo entiled to
proceed with the repairs or replacement
Nothing contained herein shall prevent the Insured
fiom taking auch steps as are absolutely necessary
for the upkeep of operations at the respective
construction site. The liability of the Insurers under
this Policy in respect of any iter sustaining damage
shall cease f said iternis not repaired property without
delay.
6. The Insured shall at the expense ofthe Insurers
do and concur in doing and pert to be cone all
such acts end things as may be necessary or
required by the Insurers in the interest of any right,
of remedies, or of obtaining relief or indemnity
{rom parties (cther than those insured under this
Policy) to which the Insurers ere or would become
entitled or which is or would be subrogated to
them upon their paying for or making good eny
loss or damage under this Policy, whether such
acts and things are or become necessary or
required before or after the Insured's
indemnification by the Insurers.
7. Ifany difference arises as to the amount to be
paid under this Policy (labilty being othenwse
admitted), such difference shall be referred to the
decision of an arbitrator to be appointed in writing
by the parties in difterence or, if they cannot agree
upon a single arbitrator, to the decision of two
arbitrators, cne to be appointed in writing by each
of the patties within one calendar month ater
having been required in writing so to do by either
Of the parties, or, in case the arbitrators do not
agree_of an umpire to be eppointed in wnting by
© menjaga bagien yang terkena dampak den
membuatnya tersedia untuk diinspeksi oleh wail
atau surveyor Penanggung,
dL menyerahkan semua informasi den bukti dokumen
yang diminta Penanggung;
© memberitahu polisi yang berweneng delam hal
kerugian atau kerusakan Karena pencurian atau
pembongkeran.
Penanggung tidak kan dalem hal apapun
bertanggung jawab ates Kerugian atau keruseken
dimana tidak aca laporan yang diterima Penanggung
dalam waktu 14 hari sojak terjadinya,
‘Setelah pembentahuan diberikan kepada Penanggung
sesuai_kondi Tertanggung dapat melakukan
perbeikan atas kerusakan kecil atau penggantien
barang yang mengalami kerusexan kecil, dalam segala
hal yang. lain wakil Penanggung mempunyai
kesempatan untuk merginspeksi Kerugian ateu
kerusakan sebelum suatu perbaiken atau perubahen
dilakukan. Jka wakil Penanggung tidak melakuken
inspeks! dalam jangka waktu yang dapat dianayep
ccukup dalam situasi tersebut Tertanggung berhek
melakuken perbaikan atau penggantian,
Tidak terdapat sesuatu pun di dalam Polis ini yang
mencagah Tertanggung untuk mengambi langkch
yang mutiak diperlukan untuk menjaga cperesi pada
masing-masing.lokasl_konstruksi. Tanggung jawed
Penanagung berdasarkan Polis ini sesuai dengan
ssetiap barang yang mengalami kerusakan akan
berakhir jika barang tersebut tidak diperbaiki
‘sebagaimana mestirya tanpa keterlambatan.
6. Tertanggung atas biaya Penanggung melakukan dan
seluju melakukan dan mengiinken cilekukarnya
semua tindakan can hal-hal yeng mungkin dipertuxan
atau diminta oleh Penanggung demi kepentingan atas
segala hak atau pemulinan, atau untuk memperoleh
ketinganan atau ganti rug deri pihak-pihak (selain deri
mereka yang diasuransikan pada Polis ini) terhadap
mana Penanggung berhek atau seharusnya berhak
atau memperoleh atau seharusnya merrpercieh hak
luntut kepada mereka setelh mengganti atau
merbetulkan suatu kerugian atau kerusakan
berdasarkan Pols ini, bai« tindakan den hal-hal
fersebut part atau menjad' perlu atau diminta
sebelum atau setelsh pemberian ganti rugi
TTeftanggung oleh Penanggung,
7. Jka suatu perbedaan timbul mengenai jumlah yang
harus dibayar berdasarken Polis ini (sebaliknya
tanggung Jawad telan clakul), perbedaan tersebut
akan dirujuk pada keoutusen 'seorang Arbiter yang
ditunjuk secara tertulis oleh para pihak yang
bersengketa atau, jike mereka tidak dapat setuju atas
Arbiter tunggal, pada keoutusen dua Arbiter, satu
ditunjuk secara tertufis oleh_masing-masing pinak
6MPM
[SURE BbiFatore belore the latter enter upon the
reference. The umpire shall sit withthe erkitrators
‘and preside at their meetings. The making of an
award shall be 2 condition precedent to any right
‘of action againet the Insurers.
8. a If the proposal or declaration of the Insured
is untue in any material respect, orif ary claim
made is fraudulent or substantially
exaggerated, or ff any false declaration of
statement is made in support thereof, then this
Policy shall be void and the Insurers shail not
be liable to make any payment hereunder,
b. In the event of the Insurers cisclaiming libility
in respect of any claim and if an action or sul is
not commenced within three months efter such
disclaimer or (in case of arbitration taking place
in pursuance cf Condition 7 ofthis Policy) within
three months after the arbitrators or umpire
have made their award, all benefit under this
Policy in respectoof such claim shall be forfeited
8. This Policy may be terminated at the request of the
Insured at any time, in which case the Insurers wit
retain the customary short-period rate for the time
this Policy has been in force. This Policy may
equally be terminated at the option of the Insurers
by seven days’ notice to that effect being given to
the Insured, in hich case the Insurers wil be liable
to repay on demand a rateable proportion of the
premium for the unexpired term from the date of
cancellation less any reasonable inspection
charges the Insurers may have incurred.
10. If at the time any claim arises under this Policy
there is any other insurance covering the same
loss or damage, the Insurers shall not be liable to
pay or contribute more than their rateable
proportion of any claim for such loss or damage.
8
a
10.
dalam satu bulan Kelender selelah diminta secara
‘ertuls. untuk metakukannya balk oleh para pink,
atau, daiam hal para Arbiter tidak setuju, seorang
Wasit yang ditunjuk secara tertulis oleh para Arbiter
sebelum yang disebut terakhir masuk ke perujukan.
Wastt duduk bersame dengan para Arbiter dan
memimpin rapat mereka. Keputusan yang. dibuat
menjadi svatu prasyarat terhadap sogala hak untuk
bertindak terhadep Penanggung
a. Jka permohonan atau dekKarasi Tetanggurg
tidak benar dalom segala hal yang materi, atou
jika kiaim yang cibuat adalah curang atau dibeser-
besarken secara substansial, atau jika deklarasi
atau pemyataan yang salah diovat untuk
mendukungnya, meka Polis ini menjadi tidak
berlaku dan Penanggung tidak bertanggung jaweb
Untuk melakukan pembayaran apapun.
b. Dalam hal Penanggung menolak tenggung jawebs
‘sehubungan dengan suatu Klaim dan jika suatu
tindakan atau gugatan tidak dilakukan dalam tiga
plan setelah penolskan tersobut atau (dalam hal
dilaksanakan proses arbitrase menurut Kordisi 7
Polis ini) dalam wektu tiga bulan setelah para
Arbiter atau Wasit membuat keputusen, segala
rmanfaat berdasarkan Pols ini sehutungan dengen
aim tersebut akan hilang,
Polis ini dapat diakhiri atas permintaan Tertanggung
setiap sast, dalam hal mana Penenggung aken
menahan suku premi jangka pendek yang lazim untuk
jangka waltu Pols yang telah beriaku. Pots ini juga
dapat diakhiri atas pilinan Penanggung dengan tujuh
hari pomberitahuan sebelum berlakunya dbericen
kepada Tertanggung, dalam hal mena Penenggung
akan bertanggung jawab untuk membayer Kembali
ates. permintaen premi proporsional prorata untuk
Jangka waktu yang belum berekhir dari tanggal
embataian cikurangl biaya inspeksi yeng viajar yang
mungkin dikeluarkan Penanggura,
ska peda saat suatu klaim timbul berdasarkan Polis,
ini terdapat asuransi lain yang rrenanggung kerugian
atau kerusakan yang sama, Penanogung tidak
bertanggung jawab membayar atau memberican
kontribusi lebih dari bagiannya secara proporsional
dati Kieim untuk kerugian atau kerusakan tersebut
Terjemanan ini diovat berdasarkan dokumen berbahasa
Ingars.
Jlika terdapat perbedean penefsiren dalam versi Bahasa
Indonesia ini, maka versi Bahasa Inggris yang akan
dijadkan sebagai acuan,Takndo
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